FIELD OF THE INVENTION
[0001] The present invention relates to a method for sterilizing packaging material, in
particular packaging material for use in packaging in which it is intended to store
a substance, such as protein containing products or a drug. More particularly, the
present invention relates to a method in which sterilizing is performed using ionizing
radiation, e.g. a beam of ionizing radiation.
BACKGROUND OF THE INVENTION
[0002] When manufacturing packaging and packaging material for products which need to be
packaged under more or less sterile conditions, the packaging must be sterilized before
the products are positioned or wrapped in the packaging. Examples of such products
are food products and pharmaceuticals, in particular liquid pharmaceuticals.
[0003] It is known to sterilize packaging or packaging material for such products by directing
a beam of ionizing radiation, e.g. an electron beam or a beam of gamma rays towards
the packaging material. This is, e.g. described in
WO 02/072157,
US 3,780,308 and
US 4,035,981. However, such a beam of ionizing radiation may cause chemical reactions in the packaging
material. This may result in the formation of compounds or substances which are reactive
with respect to proteins. Thus, if the product is positioned in the packaging immediately
after the sterilization, these compounds or substances may react with proteins which
are present in the product, thereby leading to undesired alterations of the product.
In case the product is a food product, such alterations may cause the taste of the
product to be altered in an undesired manner. In case the product is a pharmaceutical
the reactive compounds or substances may cause alterations in an active component
of the pharmaceutical, and this may lead to alterations in the therapeutic effect
of the pharmaceutical, possibly in such a manner that the therapeutic effect of the
pharmaceutical may be unknown and even varying from one package to another. This is
very undesirable.
[0004] The situation described above is in particular a problem when the packaging material
is or comprises a polymer material. In this case irradiation of the material using
ionizing radiation may cause carbon-carbon bonds and/or carbon-hydrogen bonds of the
polymer material to break, and/or it may cause pieces of polymer (e.g. comprising
3-6 carbon atoms) to become detached from the original polymer chain. The result may
be the formation of free radicals or smaller molecules which may potentially migrate
from the irradiated packaging material into the product or substance being stored
in the packaging material, and/or the formation of compounds comprising hydrocarbon
and oxygen, e.g. aldehydes, ketones, alcohols or carboxylic acid. All of the compounds
or substances mentioned above are very reactive with respect to proteins. Furthermore,
once they have been formed in the polymer material, there is a risk that they will
migrate into the product being contained in the packaging, and thereby react with
proteins present in the product, leading to the undesired effects described above.
[0005] One way to address this problem is to allow a time period to lapse from the irradiation
of the packaging material until the product is positioned or wrapped in the packaging.
The lapsed time period should be sufficient to ensure that the undesired compounds
or substances react spontaneously, e.g. with ambient air molecules, or evaporates
from the packaging material. Such a process is, e.g., described in
WO 02/072157, disclosing a method of producing sterile prefilled syringe bodies. The syringe bodies
are sterilized using a beam of ionizing radiation and transferred to a sterile environment,
and the syringe bodies are maintained in a sterilized condition as they are transferred
to the sterile environment. A fluid substance is provided and introduced into the
syringe body while the syringe body is within the sterile environment. The syringe
bodies are filled within 5 days of the irradiation, but it is preferred that they
are filled after approximately 15 minutes.
[0006] It is a disadvantage that it is necessary to allow a time period to lapse between
irradiation of the packaging material and positioning the product in the packaging,
because it adds to the total processing time. In particular, it adds to the time the
packaging needs to be maintained in a sterile environment. This causes requirements
to the sterile environment in terms of available storage space. Furthermore, the sterile
environment needs to be positioned in immediate vicinity of the irradiation station,
or the transport from the irradiation station to the sterile environment must be carried
out very carefully and under strict sterile conditions. Otherwise there is a risk
that the sterilized packaging material will be contaminated before the product can
be positioned in the packaging and the packaging is sealed. This introduces the risk
that the product is in fact not positioned in a sterile packaging, and the product
may therefore also be contaminated, possibly introducing a health risk to a user.
[0007] WO 2004/110869 discloses a method and a device for ventilating a device for electron beam irradiation
of a web. Irradiation of the web is performed while the web is moved through an irradiation
chamber. While the web is irradiated a flow of gaseous fluid is created in the irradiation
chamber in a direction opposite to the moving direction of the web. Thereby ozone
created in the air surrounding the web is removed. The method and the device disclosed
in
WO 2004/110869 do not solve the problems described above, since the flow of gaseous fluid has no,
or only a limited, effect on protein reactive substances or compounds which may be
formed in the packaging material during irradiation. Furthermore, the flow of gaseous
fluid is moved along the web during the irradiation, and protein reactive substances
or compound formed at the end of the irradiation process will therefore not be affected
by the flow of gaseous fluid.
[0008] JP 11084100 discloses a device for sterilizing objects. The objects are moved past an irradiation
station, and then into an aseptic room container in order to prevent the objects from
being contaminated again after irradiation. The surface of the aseptic room container
may be sterilized by means of heating. In order to sterilize the surface of the aseptic
room container by means of heating, a relatively high temperature, such as above 300°C,
must be provided in the aseptic room container, and the device disclosed in
JP 11084100 will therefore not be suitable for sterilizing packaging material made from a polymer
material.
[0009] Packaging and packaging materials which are suitable for storing liquid solutions
or suspensions, such as medicaments are disclosed in
WO 2005/000580 and
WO 2005/061222.
SUMMARY OF THE INVENTION
[0010] It is, thus, an object of the invention to provide a method for sterilizing packaging
material or packaging for protein containing products, in which the necessary time
lapse between an irradiation step and positioning the product in the packaging is
reduced as compared to prior art methods, while ensuring that degradation of the product
is prevented to the greatest possible extent.
[0011] It is a further object of the invention to provide a method for sterilizing packaging
material or packaging for protein containing products, in which the requirements to
storage facilities for the sterilized packaging can be reduced as compared to prior
art methods, in particular in terms of available storage space and sterility.
[0012] It is an even further object of the invention to provide a method for sterilizing
packaging material or packaging for protein containing products, the method being
suitable for packaging material made from a polymer material
[0013] The present invention relates to a method according to claim 1.
[0014] Irradiating the polymer foil using ionizing radiation will sterilize the polymer
foil as described above. Thus, the actual sterilization of the polymer foil takes
place during the irradiation step. The irradiation may advantageously take place by
directing a beam of ionizing radiation towards the polymer foil.
[0015] In the present context the term 'protein reactive substances or compounds' should
be interpreted broadly to mean substances or compounds which are likely to react chemically
with proteins. Examples of protein reactive substances or compounds are free radicals,
carbon chains, e.g. of 3-6 carbon atoms, and volatiles, such as aldehydes. Aldehydes
are particularly problematic because they are extremely reactive with respect to proteins.
Thus, even small concentrations of aldehydes may cause substantial degradation in
the product being stored in the packaging, and it is therefore very desirable to remove
aldehydes from the packaging material or render them inreactive with respect to proteins.
[0016] During the irradiation step protein reactive substances or compounds may be formed
in the polymer foil because the ionizing radiation reacts with the polymer foil, thereby
causing, e.g., carbon-carbon bonds or carbon-hydrogen bonds to break, thereby forming
the reactive substances or compounds. The protein reactive substances or compounds
may be formed in a surface region and/or in a bulk region of the polymer foil.
[0017] The substances or compounds which are present in a surface region are, naturally,
very likely to get into contact with a product which is at a later time stored in
packaging formed by the polymer foil, and it is therefore very important to remove
these substances or compounds, or to render them inreactive with respect to proteins.
Once the protein reactive substances or compounds get into contact with the product
they may diffuse into the product, react with protein in the product and thereby damage
the product as described above.
[0018] The substances or compounds which are formed in a bulk region may either be relatively
'free to move', or they may be 'fixed' in the bulk. In case they are 'free to move',
there is a risk that they will diffuse to the surface area where they may get into
contact with the product and damage it as described above. It is therefore important
that this kind of substances or compounds are removed or rendered inreactive with
respect to proteins. In case the substances or compounds are 'fixed' in the bulk region,
there is a very small risk that they will get into contact with product stored in
the packaging because the product is unlikely to enter the bulk region of the polymer
foil and the compounds or substances are unlikely to leave the bulk region. In most
cases it will therefore be of less importance to remove this kind of substances or
compounds or render them inreactive with respect to proteins.
[0019] The means for conveying the polymer foil may be or comprise one or more conveyor
belts, rollers, chutes, pushers, and/or any other suitable kind of conveying means.
[0020] Subsequently to the irradiation step, the step of accelerating diffusion from the
polymer foil of protein reactive substances or compounds formed in the polymer foil
during the irradiation step is performed. Thereby protein reactive substances or compounds
which have formed in the polymer foil during the irradiation step are at least partly
removed or rendered inreactive with respect to proteins. Furthermore, by accelerating
the diffusion, this is obtained within a much shorter time than would be the case
if one merely waited until the substances or compounds have diffused from the polymer
foil by themselves. Preferably, at least the substances or compounds which are at
risk of getting into contact with a product which is stored in the packaging at a
later time should be removed. As an alternative, removing substances or compounds
may, e.g., be done by evaporating the substances or compounds from the polymer foil.
As another alternative, rendering the substances or compounds inreactive with respect
to proteins may, e.g., be done by causing the substances or compounds to react with
other compounds, thereby chemically altering the substances or compounds in such a
way that they are no longer protein reactive.
[0021] When the polymer foil is processed as described above it is ensured that the protein
reactive substances or compounds which are formed in the polymer foil during the irradiation
step are prevented from reacting with protein contained in a product which is at a
later time stored in the packaging. Furthermore, this is ensured in a controlled and
deliberate manner, thereby avoiding waiting for the substances or compounds to disappear
or react spontaneously. Thus, long time storage in a sterile environment is no longer
required. This is very advantageous.
[0022] Furthermore, since the step of accelerating diffusion is performed subsequently to
the irradiation step, it can be ensured that diffusion of all the protein reactive
substances or compounds formed in the polymer foil during the irradiation step is
accelerated, including the substances or compounds which are formed at the end of
the irradiation step. This is also an advantage.
[0023] The irradiating step may be performed using an electron beam, i.e. the ionizing radiation
may be in the form of a beam of electrons directed towards the polymer foil. In this
case an electron beam of approximately 180 keV and 3.6 mA may be used, and the polymer
foil may be pulled through the electron beam at a velocity of approximately 7-10 m
per minute. The applied radiation dose may be varied by varying the velocity at which
the polymer foil is pulled through the electron beam. The applied dose may preferably
be within the interval 15 kGy to 100 kGy.
[0024] Alternatively, the ionizing radiation may be in the form of electromagnetic radiation,
such as in the form of a beam of electromagnetic radiation, such as a beam of gamma
rays or a beam of ultraviolet (UV) light.
[0025] Thus, the means for emitting a beam of ionizing radiation may comprise an electron
beam emitter, a gamma ray generator or a UV generator.
[0026] The step of accelerating diffusion may be performed in such a manner that diffusion
of protein reactive substances or compounds formed in a surface region of the polymer
foil is accelerated. As described above, there is a high risk that protein reactive
substances or compounds formed in a surface region of the polymer foil get into contact
with a protein containing product stored in the packaging, and it is therefore very
important to remove these substances or compounds or render them inreactive with respect
to proteins. In case no protein reactive substances or compounds are formed in the
bulk region of the polymer foil, or in case substances or compounds formed in the
bulk region are 'fixed', it may even be sufficient to accelerate diffusion of the
ones formed in the surface region to ensure that a protein containing product can
be safely stored in the packaging. However, the method may further comprise the step
of accelerating diffusion of protein reactive substances or compounds formed in the
bulk region of the polymer foil.
[0027] The step of accelerating diffusion may comprise heating the irradiated polymer foil,
e.g. to a temperature which does not exceed 200°C, such as to a temperature which
does not exceed 175°C, such as to a temperature which does not exceed 125°C, such
as to a temperature within the temperature interval 40°C to 95°C, such as to a temperature
within the temperature interval 50°C to 70°C. Thus, the processing means may comprise
means for heating the polymer foil. The temperature should in any case not exceed
a temperature beyond which the polymer foil may suffer damage. Thus, for some polymer
materials, e.g. polyethylene, the temperature should preferably not exceed 90°C, because
polyethylene typically starts melting at this temperature. For other kinds of polymers,
e.g. polypropylene, the temperature may be allowed to become somewhat higher, e.g.
up to approximately 165°C, or even higher. Some polymers do not start melting before
they reach a temperature of approximately 400°C. Depending on the kind and properties
of the protein reactive substances or compounds, heating the polymer foil may have
various effects resulting in the substances or compounds being removed or rendered
inreactive with respect to proteins, besides accelerating diffusion of the protein
reactive substances or compounds. For instance, the heating may result in chemical
changes to the substances or compound, e.g. by oxidizing the substances or compounds,
or it may result in evaporation of the substances or compounds from the polymer foil.
Chemical reactions and evaporation may also take place spontaneously. However, by
heating the polymer foil these processes take place faster and in a more controlled
manner, and the desired result is therefore reached faster and more reliably.
[0028] It has been discovered by the inventors of the present invention that heating the
polymer foil after irradiation actually prevents potentially damaging substances or
compounds from entering the product which is subsequently stored in the polymer foil.
Thus, water samples which had been stored in irradiated polymer foil were analysed
for the presence of such compounds or substances. Some of the samples had been stored
in polymer foil which had been heated after the irradiation, and some had been stored
in polymer foil which had not been heated. It turned out that in the water samples
which had been stored in polymer foil which had not been heated, potentially damaging
compounds or substances were present. These compounds and substances were not present
in the water samples which had been stored in polymer foil which had been heated.
[0029] The heating may take place during a specific time, e.g. within the range 5 s to 300
s.
[0030] The heating step may be performed using infrared radiation provided by an IR source.
In this case the heating step may advantageously be performed by applying 2 times
900 W for 3-5 s. Alternatively, the heating may be performed by means of a heat gun
which is directed towards the polymer foil.
[0031] Alternatively, the heating step may be performed using an oven. In this case the
polymer foil may advantageously be positioned in an oven for a certain time period,
e.g. by conveying the polymer foil through the oven, or by manually or automatically
positioning the polymer foil in the oven, leave it there for a certain time period,
and removing it from the oven again, manually or automatically.
[0032] As another alternative, the heating step may be performed by applying a flow of heated
air to the polymer foil.
[0033] Additionally, the step of accelerating diffusion may comprise subjecting the polymer
foil to a vacuum, e.g. by positioning the polymer foil under vacuum, i.e. subjecting
the polymer foil to a relatively low pressure. In this case the low pressure will
cause the protein reactive substances or compounds to diffuse from the polymer foil
to the ambient, and as a consequence they will no longer be present in the polymer
foil when the polymer foil is removed from the vacuum. Thus, the vacuum enhances and
speeds up a natural evaporation process, and it is therefore not necessary to wait
for the substances or compounds to evaporate spontaneously.
[0034] In one embodiment the step of accelerating diffusion may be performed substantially
immediately after the irradiation step, such as within 5 min. after the irradiation
step, preferably within 2 min. after the irradiation step, more preferably within
30 s after the irradiation step, most preferably within a few seconds after the irradiation
step. In this case the time from sterilization of the polymer foil takes place until
the packaging is ready to receive a product to be stored is minimised. Thereby the
risk of contamination of the polymer foil before the product is received in the packaging
is also minimised. Furthermore, the need for storage of the polymer foil under sterile
conditions is also minimised. This is very advantageous, in particular when the product
to be stored is a pharmaceutical, because in this case it is very important to avoid
contamination.
[0035] The method may further comprise the step of forming a packaging, at least part of
said packaging being made from the polymer foil. All of the packaging may be made
from the polymer foil, or only a part of the packaging, e.g. a lid or a seal, may
be made from the polymer foil. The step of forming a packaging may advantageously
be performed either prior to the irradiation step or after the processing step. In
case it is performed prior to the irradiation step it is the packaging which undergoes
irradiation and acceleration of diffusion, and the packaging will therefore be ready
to receive a product when the step of accelerating diffusion has been completed. This
is advantageous because it is thereby possible to reduce to time elapsing from sterilization
of the packaging to the product is received in the packaging and the packaging sealed,
and the risk of contamination is thereby minimised.
[0036] The step of forming a packaging may comprise welding two foil layers together, thereby
forming a reservoir. The two foil layers may be from separate foils. Alternatively,
one foil may be folded and welded, thereby forming the reservoir.
[0037] Thus, a product may be stored in the packaging. The method, in this case, preferably
further comprises the step of sealing the packaging, thereby avoiding contamination
of the product.
[0038] In case the step of forming a packaging is performed after the step of accelerating
diffusion, the packaging is formed by the sterilized and processed polymer foil. This
is in particular advantageous in case only part of the packaging is made from the
polymer foil, e.g. a lid, a covering foil, a cap or a sealing part. In this case the
sterilized and processed polymer foil may be applied to the remaining part of the
packaging with the product arranged therein, e.g. during a sealing process.
[0039] The method steps may advantageously form an inline process. According to this embodiment
the process steps are performed at least substantially immediately subsequently to
each other. Thereby the time elapsing from the irradiation step until the packaging
with the product is ready to leave the processing plant is minimised, thereby providing
an efficient procedure with a low risk of contamination of the products and reduced
need for storage under sterile conditions. This reduces the manufacturing costs.
[0040] The polymer foil may be a film material. The polymer or film material used may be
a polymer of polyethylene (herein designated PE), polypropylene (herein designated
PP), polyethylene terephtalate (herein designated PET) and/or polychlorotrifluoroethylene
(herein designated PCTFE) and these polymers may be used alone or together.
[0041] The film material should preferably, after sterilization, fulfill some or all the
following physical requirements: 1) the material must be transparent, 2) the material
must provide a good barrier against water; 3) the material must provide a good barrier
against gasses (for example, oxygen and carbon dioxide); 4) the material must provide
a good barrier against preservatives (for example, phenol and meta-cresol); 5) the
material must provide a good barrier against odors (for example preservatives); 6)
the material must be resistant against environmental stress cracking (for example,
oils, perfumes); 7) the material must be resistant against flex-crack; 8) the material
must have good sealing properties (for example, by welding); 9) the material must
not delaminate after sterilization, during processing or storage; and 10) the material
must not relax significantly during storage and use.
[0042] According to one embodiment, the steps of the method may be performed in a sterile
environment. Thereby the risk of contamination is even further reduced. However, since
the complete procedure may be performed relatively fast as described above, the total
size of the sterile environment may be reduced as described above.
[0043] The processing step of the invention may be performed in such a manner that an impurity
level in the insulin containing product after storage in the packaging for 10 weeks
at 5°C is within 1.5% of a corresponding impurity level in a comparable insulin containing
product positioned in a packaging made from a sterilized glass material under similar
storage conditions.
[0044] It should be noted that a person skilled in the art would readily recognise that
any feature described in combination with the first aspect may also be combined with
the second, the third and the fourth aspects, any feature described in combination
with the second aspect may also be combined with the first, the third and the fourth
aspects, any feature described in combination with the third aspect may also be combined
with the first, the second and the fourth aspects, and any feature described in combination
with the fourth aspect may also be combined with the first, the second and the third
aspects.
[0045] The processing step is performed in such a manner that an impurity level in the protein
containing product after storage in the packaging for 10 weeks at 5°C is within 1.5%
of a corresponding impurity level in a comparable protein containing product positioned
in a packaging made from a sterilized glass material under similar storage conditions.
When a glass material is sterilized using ionizing radiation, protein reactive substances
or compounds are normally not formed, and it is therefore safe to position a protein
containing product in packaging made from a glass material immediately after irradiation.
Accordingly, storage in a glass material can be used as a reference with respect to
the impurity level in a polymer foil having a protein containing product positioned
therein. However, glass materials have some disadvantages as compared to polymer materials.
For instance, they are not flexible and they are fragile.
[0046] Preferably, the processing step is performed in such a manner that an impurity level
in the protein containing product after storage in the packaging for 2 years at 5°C
is within 1.5% of a corresponding impurity level in a comparable protein containing
product positioned in a packaging made from a sterilized glass material under similar
storage conditions, preferably within 0.5-1%.
[0047] Thus, according to a further aspect of the invention, a polymer foil is provided
in which an insulin containing product will be as stable, or almost as stable, as
a corresponding product stored in a glass material, and at the same time the advantages
of polymer material, such as flexibility, robustness, etc., are obtained. This is
very advantageous.
[0048] The processing step may be performed by accelerating diffusion from the polymer foil
of protein reactive substances or compounds formed in the polymer foil during the
irradiation step. Alternatively or additionally, the processing step may comprise
heating the polymer foil, e.g. to a temperature which does not exceed 200°C, such
as to a temperature within the temperature interval 40°C to 95°C. The heating step
may be performed by applying a flow of heated air to the polymer foil, by using infrared
radiation, or by using an oven. This has also been described above.
[0049] Alternatively or additionally, the processing step may comprise subjecting the polymer
foil to a vacuum as described above.
BRIEF DESCRIPTION OF THE DRAWINGS
[0050] The invention will now be described in further details with reference to the accompanying
drawings in which
Fig. 1 is a diagrammatic view of a sterilization system not according to an embodiment
of the invention,
Fig. 2 is a graph illustrating the percentage of di- and polymers present in insulin
stored for two weeks at 37°C in packaging which has been sterilized in accordance
with various embodiments of the invention,
Fig. 3 is a graph illustrating the percentage of di- and polymers present in insulin
stored for one week at 37°C in packaging which has been sterilized in accordance with
various embodiments of the invention, as compared to a reference sample stored in
glass packaging,
Fig. 4 is a graph illustrating the amount of other related degradation products present
in insulin stored for one week at 37°C in packaging which has been sterilized in accordance
with various embodiments of the invention, as compared to a reference sample stored
in glass packaging, and
Figs. 5-9 are graphs and charts illustrating tests performed as described in the Example
below.
DETAILED DESCRIPTION OF THE DRAWINGS
[0051] Fig. 1 is a diagrammatic view of a sterilization system 1 not according to an embodiment
of the invention. The sterilization system 1 comprises an irradiation station 2, a
heating station 3 and a filling station 4.
[0052] A polymer film 5 is conveyed past the irradiation station 2. Thereby the film 5 is
irradiated with an electron beam (e.g. a 180 keV, 35 kGy electron beam). The film
5 is then conveyed to the heating station 3 where it is subjected to heating. The
heating may be performed in any suitable way, such as using an IR source, a heat gun
or an oven, and the time and temperature of the heating may be selected appropriately.
The heating of the film 5 has the effect that any undesired protein reactive substances
or compounds which were formed during the irradiation step are removed or rendered
inreactive with respect to proteins, preferably by accelerating diffusion of the substances
or compound from the film. Immediately after the heating, the film 5 is formed into
reservoirs which are conveyed to the filling station 4. At the filling station 4 medication,
such as insulin, is filled into the reservoirs, and the reservoirs are sealed in order
to conserve the medication.
[0053] Since protein reactive substances or compounds which may have been formed in the
polymer film 5 during irradiation are removed or rendered inreactive with respect
to proteins during the heating, degradation of the medication which is filled into
the reservoirs at the filling station 4 is considerably reduced. Thereby sterilized
packaging is provided in which degradation of medication stored in the packaging due
to reaction between the medication and undesired substances or compounds in the packaging
material is reduced or even avoided.
[0054] Fig. 2 is a graph illustrating the percentage of di- and polymers present in insulin
stored for two weeks at 37°C in packaging which has been sterilized in accordance
with various embodiments of the invention. The packaging may advantageously have passed
through the sterilization system 1 shown in Fig. 1. The heating time as well as the
manner of heating the packaging material was varied, as illustrated by the legend
of Fig. 2. Thus, the heating was performed using a heat gun and an oven, respectively.
The irradiation step was performed in a nitrogen atmosphere and in atmospheric air,
respectively. Furthermore, two reference samples were prepared, one in an irradiated
polymer packaging which had not been heated, and one in a conventional glass ampoule
('reference in glass'). Since glass is not expected to contain protein reactive substances
or compounds, the latter reference sample may be regarded as representing an ideal
situation where no protein reactive substances or compounds are present.
[0055] At the filling station 4 insulin was filled into the reservoirs. After sealing, the
reservoirs were stored at 37°C for two weeks. The contents of the reservoirs were
then analysed and compared. In the situation illustrated in Fig. 2 the analysis was
done by detecting the percentage of di- and polymers present in the insulin, i.e.
the percentage of dimers and polymers of proteins from the insulin present in each
reservoir. Such di- and polymers represent an important kind of degradation product,
i.e. a large percentage of di- and polymers indicates a large degradation of the proteins
of the insulin.
[0056] Comparing the results shown in Fig. 2, it is clear that the longer the heating time,
the smaller the percentage of di- and polymers present in the insulin, indicating
that the degree of degradation of the insulin is reduced when heating is applied to
the packaging. This is particularly clear when the results from the heated samples
are compared to the result of the sample in the packaging which was not heated. It
also seems that using a nitrogen atmosphere improves the result as compared to performing
the irradiation in atmospheric air. It should be noted, that under normal circumstances
the reservoirs with the insulin would be stored at approximately 5°C rather than at
37°C. These storage conditions would reduce the degradation of the insulin as compared
to the study illustrated in Fig. 2. Thus, the study illustrated in Fig. 2 may be regarded
as performed under 'accelerated conditions'. However, the conclusion, i.e. that degradation
is reduced if the irradiated packaging material is heated before the insulin is filled
into the reservoirs, would be the same under normal storage conditions, even though
the degradation would be somewhat slower.
[0057] Fig. 3 is a graph illustrating the percentage of di- and polymers present in insulin
stored for one week at 37°C in packaging which has been sterilized in accordance with
various embodiments of the invention, as compared to a reference sample stored in
glass packaging. The study illustrated in Fig. 3 is very similar to the study illustrated
in Fig. 2. However, in this case the temperature applied during the heating was varied
as illustrated by the legend, and the analysis was performed after one week storage
at 37°C. Furthermore, before the results were plotted, the percentage of di- and polymers
present in the reference sample which was stored in the glass packaging was subtracted
from the analysis results.
[0058] It is clear from the graph in Fig. 3 that the reservoirs which were heated to 90°C
contain a smaller percentage of di- and polymers than the reservoirs which were heated
to 60°C. Thus, a higher temperature is preferred. It must, however, be kept in mind
that the temperature should not be so high that the packaging material is damaged,
e.g. due to melting. Furthermore, as was also concluded in the study illustrated in
Fig. 2, a longer heating time is preferred. Finally, it seems that the heating provided
by IR (infrared) heating is very efficient. Thus, after a relatively short heating
time, approximately 10 seconds, the percentage of di- and polymers present in the
sample is almost as low as is the case for the reference sample in the glass ampoule.
Accordingly, it seems that providing the heating by means of an IR source is very
advantageous.
[0059] Fig. 4 is a graph illustrating the amount of other related degradation products present
in insulin stored for one week at 37°C in packaging which has been sterilized in accordance
with various embodiments of the invention, as compared to a reference sample stored
in glass packaging. Thus, the study illustrated in Fig. 4 is very similar to the study
illustrated in Fig. 3. However, in this case the analysis is performed by detecting
other related degradation products than di- and polymers. This parameter is also very
important when regarding the total degradation of insulin. The conclusions are, however,
the same as in the study illustrated in Fig. 3. Higher temperatures and longer heating
times are preferred, and using an IR heating source is very efficient.
Example
[0060] Studies were made of insulin stored in irradiated polymer packaging in order to evaluate
the effect of time and temperature of film prior to insulin filling, but after irradiation.
[0061] The effect of the above mentioned parameters were analysed by evaluating stability
of insulin aspart U100.
[0062] Based on the results it can be concluded that time between irradiation and insulin/film
contact has an impact on chemical stability of insulin aspart U100, that when heating
of film between irradiation and filling is applied, the chemical stability of insulin
aspart can be brought to the same level as if stored in glass vials, and that the
heating times needed for a significant improvement in insulin stability is >30-60
seconds.
[0063] For the production of flexible reservoirs, the design of the production filling line
is optimised for minimised chance of contamination of the film before insulin filling.
Therefore the time between irradiation and insulin filling is planned to be held at
a minimum. The line speed is planned to be 3 m/minute, and the time between irradiation
and insulin filling will as a consequence be less than 2-3 minutes.
[0064] In several previous studies it has been observed that the film discolours when irradiated.
The discoloration disappears after 20-30 minutes at room temperature. From this observation
it is likely to conclude that chemical changes in the film do occur during and just
after irradiation.
[0065] In earlier studies it has not been possible to keep the time between irradiation
and filling production realistic. By the use of hand held welding equipment, a method
for filling very shortly after irradiation was developed.
[0066] The above mentioned studies were initiated for the evaluation of insulin stability
versus time between irradiation and filling. Furthermore the effect of heat treatment
of the film prior to filling was evaluated.
[0067] The objective of the studies described in this example was to evaluate the effect
of time and temperature of film prior to insulin filling, but after irradiation. The
effect of the above mentioned parameters were analysed by evaluating stability of
insulin aspart U100. Table 1 shows film test and test media.
Table 1
| Study |
Film |
Insulin aspart U100 batch |
| 1 |
1 |
Batch 1 |
| 2 |
1 |
Batch 2 |
| 3 |
2 |
Batch 2 |
| 4 |
3 |
Batch 3 |
| 5 |
3 |
Batch 3 |
[0068] The films were comparable. Similarly, the insulin batches were comparable.
[0069] Films were irradiated and brought into contact with insulin aspart. The following
parameters were controlled:
- Dose of irradiation
- Time between irradiation and filling
- Temperature of film in the time span between irradiation and filling
[0070] In study 1 the film was cut into pieces and immersed in insulin aspart U100. In study
2, 3, 4 and 5 the film was welded into reservoirs before filling. In all cases the
time span between irradiation and insulin/film contact was controlled and noted.
[0071] The insulin aspart U100 was placed at 37°C, and sampling was performed in a period
of 12 weeks. The results obtained will be described below.
[0072] The trends observed for related impurities are also valid for high molecular weight
protein (HMWP) in the data obtained in studies described herein.
[0073] No difference in the level of B28isoAsp and desamido between aspart U100 stored in
reservoirs and reference vials has been observed in stability data obtained from studies
performed by the inventors of the present invention.
[0074] This example only covers stability data from insulin stored at 37°C. In study 2 and
3 reservoirs were also placed at 5°C storage.
[0075] In study 1 film pieces were immersed into insulin aspart after irradiation. Time
between irradiation and immersion was varied.
[0076] From Fig. 5 it is observed that the rest time between irradiation and insulin/film
contact does seem to have an impact on chemical stability. No difference is observed
between samples: 1.5 min and 8 min. Samples: 60 min and 12 min have dissimilar chemical
stability compared to the other samples. Assay data from this study indicates that
water evaporation from sample 12 min, 60 min and 8 min had taken place. This could
compromise the validity of stability data obtained.
[0077] In study 2 and 3 the film was converted into reservoirs as quickly as possible after
irradiation. For estimating the time effect, time between irradiation and insulin/film
contact was varied between 1 h and the lowest practical possible time (½ - 2 minutes).
[0078] From Figs. 6 and 7 it is observed that the time between irradiation and filling does
have an impact on chemical stability.
[0079] In study 3 different doses were applied. It is observed that the chemical stability
of insulin aspart is not very sensitive to irradiation dose.
[0080] Disregarding data in Fig. 5 it is observed from Figs. 6 and 7 that the difference
between level of related impurities in reservoirs filled just after irradiation and
glass reference is approximately 2-2.5 % after 12 weeks at 37°C. For reservoirs allowed
to rest for 60 minutes before filling the difference is approximately 1-1.5 %.
[0081] In study 4 and 5 the temperature of the film between irradiation and filling was
varied.
[0082] Table 2 shows data related to study 4. More particularly, the table shows levels
of related impurities in reservoirs containing insulin aspart U100. The samples were
stored at 37°C. The temperature was approximately 60°C in all heating processes.
Table 2
| Test no. |
Treatment |
Dosis |
Time = zero |
2 weeks |
6 weeks |
12 weeks |
| 1 |
30 sec. heat gun |
35 kGy (high dosis side) |
0,7 |
2,9 |
5,1 |
8,3 |
| 2 |
120 sec. heat gun |
35 kGy (high dosis side) |
0,7 |
2,1 |
4,4 |
7,8 |
| 3 |
60 sec heater |
35 kGy (high dosis side) |
0,8 |
2,5 |
5,2 |
8,4 |
| 4 |
5 min. heater |
35 kGy (high dosis side) |
0,8 |
2,3 |
4,4 |
8,0 |
| 5 |
30 sec. heat gun |
60 kGy (high dosis side) |
0,9 |
3,0 |
5,7 |
9,1 |
| 6 |
120 sec. heat gun |
60 kGy (high dosis side) |
0,9 |
2,8 |
4,7 |
8,2 |
| 6A |
120 sec. heat gun |
60 kGy (high dosis side) |
0,8 |
2,3 |
4,8 |
8,2 |
| 7 |
5 min. heater |
60 kGy (high dosis side) |
0,8 |
2,1 |
4,7 |
8,3 |
| 8 |
30 sec. heat gun |
60 kGy (low dosis side) |
0,9 |
2,6 |
4,9 |
8,5 |
| 9 |
120 sec. heat gun |
60 kGy (low dosis side) |
0,8 |
2,4 |
4,7 |
7,9 |
| 10 |
5 min. heater |
60 kGy (low dosis side) |
0,8 |
2,3 |
4,9 |
8,6 |
| 11 |
|
35 kGy (high dosis side) |
1,1 |
3,0 |
5,6 |
9,5 |
| 12 |
|
60 kGy (high dosis side) |
1,0 |
3,3 |
5,8 |
9,2 |
| 13 |
|
60 kGy (low dosis side) |
0,9 |
2,7 |
5,5 |
8,8 |
| 14 |
60 min. from irradiation to filling |
60 kGy (high dosis side) |
0,8 |
2,5 |
5,4 |
9,0 |
| 15 |
heat gun while the film comes ot of the machine |
60 kGy (low dosis side) |
0,8 |
2,6 |
5,1 |
8,5 |
| 16 |
5 min. from irradiation to filling |
60 kGy (high dosis side) |
1,0 |
3,0 |
|
9,2 |
| 17 |
|
0 kGy |
0,7 |
1,8 |
4,0 |
7,2 |
| 18 |
30 sec. heat gun |
35 kGy - N2 (high dosis side) |
0,9 |
2,6 |
5,0 |
8,9 |
| 19 |
120 sec. heat gun |
35 kGy- N2 (high dosis side) |
0,8 |
2,4 |
4,9 |
9,0 |
| 20 |
60 sec heater |
35 kGy- N2 (high dosis side) |
0,7 |
2,8 |
5,2 |
8,6 |
| 21 |
5 min. heater |
35 kGy-N2 (high dosis side) |
0,7 |
2,3 |
4,1 |
7,5 |
| Ref. |
|
|
0,7 |
1,9 |
3,9 |
7,1 |
[0083] From Table 2 it is observed that in samples 11, 12, 13, 14 and 16 the level of related
impurities is approximately 2 % higher than glass reference. These samples have not
received any heat treatment. A difference between sample 14 and (11, 12, 13 and 16)
is not observed.
[0084] Generally heating of the film improves chemical stability.
[0085] In study 5 higher temperatures were applied:
[0086] When the temperature is raised to 90°C in the film heating process, an improved chemical
stability is obtained. From Fig. 8 a time dependency is still present, but generally
the difference between heat treated films and glass reference is very limited. Antioxidant
was added to one film sample, but a positive effect is not observed in chemical stability.
[0087] The high evaporation in some samples compromises the stability data in Fig. 5 (Study
1). Furthermore the study was performed as an immersion study. In the performed immersion
studies the ratio between liquid and gas phase was about 50%. This means that volatile
components from the irradiated film samples may have moved to the gas phase to a much
higher degree than in closed film reservoirs.
[0088] In study 2 and 3 the stability data is based on reservoirs with a minimum amount
of air. The data from Figs. 6 and 7 indicates that the stability of insulin aspart
is dependent on the time between irradiation and insulin filling.
[0089] Heating the film after irradiation has a pronounced positive effect on chemical stability
(Table 1 and Fig. 8). Heating 2.5 - 5 min. at 90°C secures stability similar to glass
references (Fig. 8).
[0090] In the above mentioned heating processes, the temperatures are measured in the surroundings
to the film. The actual film temperature was not measured during the heat treatments,
but it can generally be assumed that the film temperature was not the same as the
surrounding temperature in the short time treatments (relatively slow convection heat
transfer). Table 3 shows comparison of treatments. The difference between glass and
reservoir was calculated by subtracting related impurities data between reservoirs
at glass at week 12.
Table 3
| Study |
Treatment |
Heat process |
Difference between glass and reservoir week 12 |
| 2 |
Fast filling, Dose: 60 kGy |
No |
2,5 % |
| 3 |
Fast filling, Dose: 50 kGy |
No |
2,2 % |
| 4 |
Fast filling, Dose: 60 kGy |
No |
2,1% |
| 4 |
Fast filling, Dose: 35 kGy |
No |
2,4 % |
| 5 |
Fast filling, Dose: 35 kGy |
No |
0,9 % |
| 4 |
60 min at room temperature, Dose: 60 kGy |
No |
1,9 % |
| 3 |
60 min at room temperature, Dose: 50 kGy |
No |
1,5 % |
| 4 |
5 min at 60 degrees, Dose: 60 kGy |
Yes |
1,2 % |
| 4 |
5 min at 60, Dose: 35 kGy |
Yes |
0,9 % |
| 5 |
5 min at 90, Dose: 35 kGy |
Yes |
-0,4 % (**) |
| 5 |
2,5 min at 90, Dose: 35 kGy |
Yes |
-0,3 % (**) |
[0091] In the two tests performed in study 5 the reservoirs performed better than corresponding
tests in glass material.
[0092] From table 3 it is observed that all reservoirs filled just after irradiation generally
results in higher level of degradation. The fast filling sample of study 5 performs
better than other fast filling samples. This indicates that filling just after irradiation
could create not only a higher degradation level, but also a higher variation between
samples.
[0093] 1 hour at room temperature improves the stability, but heating at 60°C and especially
at 90°C improves the stability to the same level as if stored in glass vials.
[0094] The material in the inner and outer layer in the reservoir film is low density polyethylene
(LDPE). It is well known that LDPE will soften as the crystalline melting point is
approached. The crystalline melting point of LDPE is in the range 110°C-120°C and
heating the film to 90°C will for that reason cause the film to soften and loose mechanical
strength.
[0095] The heat treatment temperature needs be in good balance between insulin stability
and mechanical properties of the film, when the final heat process on the production
line is chosen.
[0096] Fig. 9 shows corresponding storage data for storage at 5°C.